National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1185349

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185349
VAERS Form:2
Age:53.0
Sex:Female
Location:Missouri
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Cold sweat, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyzal
Current Illness: Gallbladder Surgery
Preexisting Conditions: Unknown
Allergies: Dimeral
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Clammy, light headed, dizzy


Changed on 5/7/2021

VAERS ID: 1185349 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Missouri
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Cold sweat, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyzal
Current Illness: Gallbladder Surgery
Preexisting Conditions: Unknown
Allergies: Dimeral Dimeral
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Clammy, light headed, dizzy


Changed on 5/14/2021

VAERS ID: 1185349 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Missouri
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Cold sweat, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyzal
Current Illness: Gallbladder Surgery
Preexisting Conditions: Unknown
Allergies: Dimeral Dimeral
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Clammy, light headed, dizzy

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185349&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166